A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

"I will have to move out of my family's home until I am no longer contagious."

"I will place my used tissues in a plastic bag."

"I will cover my mouth with my hands when I have to cough."

"I will not go in public areas until I am cured."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "I will have to move out of my family's home until I am no longer contagious.": It is not necessary for the client to move out of the home, but precautions such as proper ventilation, wearing a mask, and isolating in a separate room can reduce the risk of transmission to household members during the contagious period.

B. "I will place my used tissues in a plastic bag.": Disposing of used tissues in a sealed plastic bag helps contain respiratory secretions and prevent the spread of Mycobacterium tuberculosis. This is an appropriate infection control practice that demonstrates understanding of proper hygiene.

C. "I will cover my mouth with my hands when I have to cough.": Covering the mouth is essential, but using the hands increases the risk of spreading bacteria through contact with surfaces. The client should be instructed to use a tissue or the inside of the elbow to minimize contamination.

D. "I will not go in public areas until I am cured.": Total avoidance of public areas is not necessary, but the client should avoid crowded places and public transport during the initial phase of treatment, typically the first few weeks, when they are still contagious.

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Correct Answer is A

Explanation

Rationale:
A. "I am aware that my diabetes is caused by an autoimmune disorder.": Type 1 diabetes mellitus results from the immune system attacking the insulin-producing beta cells in the pancreas. This autoimmune destruction leads to a complete deficiency of insulin, making lifelong replacement necessary.

B. "I know that my diabetes developed slowly over several years.": Type 1 diabetes often has a rapid onset, especially in younger individuals. Symptoms such as polyuria, polydipsia, weight loss, and fatigue can appear suddenly over days or weeks, rather than gradually over several years.

C. "If I lose weight, I may be able to stop taking insulin.": Weight loss does not eliminate the need for insulin in type 1 diabetes. Because the pancreas no longer produces insulin, insulin therapy remains necessary regardless of changes in body weight or physical condition.

D. "I have developed a resistance to insulin.": Insulin resistance is a feature of type 2 diabetes, where the body produces insulin but cannot use it effectively. In type 1 diabetes, the problem is a lack of insulin production due to the destruction of pancreatic beta cells.

A. "You will drink a contrast solution 30 minutes prior to the procedure." B. "You will not be able to eat or drink after the procedure until you are able to cough." C. "The purpose of this procedure is to remove excess fluid from your lungs." D. "You will need to lie on your back for 4 to 6 hours following the procedure."

Correct Answer is B

Explanation

Rationale:
A. "You will drink a contrast solution 30 minutes prior to the procedure.": Contrast solutions are used for imaging studies like CT scans, not for bronchoscopies. Bronchoscopy is a visual examination of the airways and does not require contrast ingestion beforehand.

B. "You will not be able to eat or drink after the procedure until you are able to cough.": After a bronchoscopy, the gag and cough reflexes are temporarily suppressed due to local anesthesia. Eating or drinking before these reflexes return increases the risk of aspiration, so this is an essential safety measure.

C. "The purpose of this procedure is to remove excess fluid from your lungs.": Bronchoscopy is primarily used for visualizing the airways, obtaining tissue samples, or removing obstructions. Thoracentesis, not bronchoscopy, is the procedure used to remove fluid from the pleural space.

D. "You will need to lie on your back for 4 to 6 hours following the procedure.": Prolonged supine positioning is not necessary after bronchoscopy. Clients are typically monitored in a semi-Fowler’s position until sedation wears off and airway protective reflexes return.

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A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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